Surgical infection in a videolaparoscopic cholecystectomy when using peracetic acid for the sterilization of instruments.

Abstract

OBJECTIVE:

To determine the frequency of surgical site infection in patients undergoing laparoscopic cholecystectomy with instruments sterilized by peracetic acid.

METHODS:

We conducted a retrospective, cohort, descriptive, cross-sectional study. Peracetic acid has been used for sterilization following the protocol recommended by the manufacturer. We observed the criteria and indicators of process and structure for preventing surgical site infection pre and intraoperatively. For epidemiological surveillance, outpatient visits were scheduled for the 15th and between the 30th and 45th days after discharge.

RESULTS:

Among the 247 patients, there were two cases of surgical site infection (0.8%). One patient was readmitted to systemic antibiotic therapy and percutaneous puncture; in the other the infection was superficial and followed at the clinic.

CONCLUSION:

Ethical issues prevent the conduction of a prospective study because of peracetic acid have been banned for the sterilization of instruments that penetrate organs and cavities. Nevertheless, these results encourage prospective case-control studies comparing its use (historical control) with ethylene oxide sterilization.

• Authors: Edluza Maria Viana Bezerra de Melo, Cristiano de Souza Leão, Luciana Marques Andreto, Maria Júlia Gonçalves de Mello
• Journal: Revista do Colegio Brasileiro de Cirurgioes (Rev Col Bras Cir) 2013 May-Jun Vol. 40 Issue 3 Pg. 208-14 ISSN: 1809-4546 [Electronic] Brazil
• PMID: 23912368 (Publication Type: Journal Article)

Chemical References

• Peracetic Acid

Topics

• Adolescent
• Adult
• Aged
• Cholecystectomy, Laparoscopic (instrumentation)
• Cohort Studies
• Cross-Sectional Studies
• Equipment Contamination (prevention & control)
• Female
• Humans
• Male
• Middle Aged
• Peracetic Acid
• Prospective Studies
• Retrospective Studies
• Sterilization
• Surgical Wound Infection (epidemiology)
• Video-Assisted Surgery (instrumentation)
• Young Adult